A prospective study on association of primary infertility and  fibroid uterus

Background: Implication of fibroid uterus on infertility is still debateable. Co-existence of infertility and fibroid uterus has been observed many times in clinical practice. This study is conducted to ascertain the frequency of primary infertility in women suffering from fibroid.Methods: A prospective observational study was conducted at Altnagelvin hospital, Northern Ireland from July 2019 to December 2019. Total 100 patients were participated in the study. All data were collected and analysed using SPPS ver 20 software.Results: During the study period, a total of one hundred women presented with fibroid uterus were observed. All the cases were within the reproductive age group ranging from 20-43 years of age. 40% for cases were between 20-27 years, 49% cases were between 28-35 years and 11% belonged to 36-43 years of age. Considering the symptoms, infertility was 14%. According to the number of fibroids, in 22% of cases, there were multiple fibroids. The single uterine fibroid was seen in 78% of cases.Conclusions: Fibroid is relatively common in patients of reproductive age and was associated with infertility in 14% of cases.

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Clinicopathological study of leiomyomas in hysterectomy specimens

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20181345 ◽

2018 ◽

Vol 7 (4) ◽

pp. 1509 ◽

Cited By ~ 1

Author(s):

Manpreet Kaur ◽

Rajiv Kamal Gupta ◽

Simrat Jit Kaur ◽

Panchampreet Kaur

Keyword(s):

Histopathological Examination ◽

Reproductive Age ◽

Benign Tumors ◽

Histopathological Study ◽

Histopathological Diagnosis ◽

Age Group ◽

Diagnosis And Prognosis ◽

Common Complaint ◽

A Prospective Study ◽

Reproductive Age Group

Background: Leiomyomas are benign tumors of smooth muscle cells commonly encountered in women of reproductive age group. Aim of this study was to conduct a histopathological study of leiomyomas in hysterectomy specimens and to correlate them with clinical findings.Methods: A prospective study was done on 130 hysterectomy specimens clinically diagnosed as leiomyoma. The specimens were subjected to histopathological examination.Results: In this study, the most common age group was 31-50 years (87.69%). Most common complaint was menorrhagia (51.54%). In endometrium, the most common histopathological diagnosis was proliferative phase (46.15%) followed by endometrial hyperplasia (19.23%). The most common secondary change was hyalinization and the most common site was intramural (62.9%).Conclusions: Hysterectomy is a commonly performed procedure in the management of uterine leiomyomas. The ultimate diagnosis and prognosis depends on the histopathological examination; therefore, every operated specimen must be subjected to histopathology.

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Successful Outcome of Pregnancy with Large Fibroid Uterus- A Case Report

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v25i2.13746 ◽

2013 ◽

Vol 25 (2) ◽

pp. 87-89

Author(s):

Nahreen Akhtar ◽

Sayeeda Sultana ◽

Fahmida Zabin

Keyword(s):

Fetal Movement ◽

Reproductive Age ◽

Successful Outcome ◽

Severe Bleeding ◽

Age Group ◽

Cesarean Hysterectomy ◽

Fibroid Uterus ◽

Life Threatening ◽

Caesarean Hysterectomy ◽

Reproductive Age Group

Background: Fibroid is the most common of all pelvic tumours, being present in 20 percent of women in the reproductive age group and increases with age.Obstetric cesarean hysterectomy is mostly done for indications deemed to be serious and life threatening to the patient and not amenable to conservative management.Case: A 27 years old lady was admitted in BSMMU with 3rd gravida 35 wks pregnancy with less fetal movement with fibroid uterus. Fibroid was diagnosed at her 21 weeks pregnancy by ultrasonogram. Caesarean section was done at 35+ weeks of pregnancy because of nonreactive CTG. After delivery of the baby and placenta, severe bleeding started. Caesarean hysterectomy was done. The mother and baby were healthy at the time of discharge.Conclusion: Very few patients needed cesarean hysterectomy in case of fibroids in pregnancy. However there is no question that cesarean hysterectomy save lives especially in case of bleeding that cannot be controlled by simpler measures. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13746 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 87-89

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Analysis of Preterm Induction of Labour

Volume 5 - 2020, Issue 9 - September - International Journal of Innovative Science and Research Technology ◽

10.38124/ijisrt20sep618 ◽

2020 ◽

Vol 5 (9) ◽

pp. 860-864

Author(s):

Kritika Agrawal ◽

Shubhangi Mande ◽

Lakshmi Rachakonda

Keyword(s):

Preterm Birth ◽

Prospective Observational Study ◽

Reproductive Age ◽

Induction Of Labour ◽

Labour Induction ◽

Age Group ◽

Bishop Score ◽

Medical College ◽

Number Of Patients ◽

Reproductive Age Group

Worldwide 20-30% of labour cases are induced. We conducted an analysis to evaluate the success of labour induction for indicated preterm birth A prospective observational study was conducted among 50 patients admitted in the Department of OBGY, MGM Medical College and Hospital, Aurangabad from 1st March 2019 to 31st March 2020. There was a total of 50 deliveries during this period. The preterm induction majorly includes 20-34 years as this is the commonest reproductive age group seen in our hospital. More number of Hindus underwent induction. Multigravida requires induction more as compared to primigravida. More number of patients were induced between 32-36 weeks, reason being PPROM, severe preeclampsia, IUD and severe FGR. Vaginal delivery is more likely irrespective of bishop score. Induction of labour remains relevant obstetrics procedure and its outcome will depend on proper choice of patients and close intrapartum monitoring

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Epidemiological profile of female breast cancer in reproductive age-group and its association with maternal characteristics: -A population-based observational study in India

Oncomedicine ◽

10.7150/oncm.32297 ◽

2019 ◽

Vol 4 ◽

pp. 27-34

Author(s):

Perumal Vanamail

Keyword(s):

Breast Cancer ◽

Observational Study ◽

Population Based ◽

Female Breast Cancer ◽

Reproductive Age ◽

Age Group ◽

Maternal Characteristics ◽

Female Breast ◽

Epidemiological Profile ◽

Reproductive Age Group

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Comparison between Mifepristone and Ulipristal acetate as an alternative to surgical management of uterine fibroids (Leiomyoma) in symptomatic patients of reproductive age group in Asian population

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175528 ◽

2017 ◽

Vol 7 (1) ◽

pp. 109

Author(s):

Ashish R. Kale

Keyword(s):

Prospective Observational Study ◽

Uterine Fibroids ◽

Asian Population ◽

Reproductive Age ◽

Age Group ◽

Transabdominal Ultrasound ◽

Ulipristal Acetate ◽

Reproductive Age Group

Background: Present study was a randomised prospective observational study carried out at Ashakiran Hospital and IVF centre Pune, Maharashtra, India to evaluate the efficacy, safety, and quality of life by using Ulipristal acetate 10 mg and Mifepristone 25 mg daily doses to treat uterine fibroids of two subgroups involving fibroids <3 cm and fibroids 3 to 5 cm all are in reproductive age group with symptomatic in nature over 3 months.Methods: A total number of 40 patients were recruited in the study of which they were divided into two groups according to the size of the fibroid as <3cm and 3-5cm as seen on transvaginal as well as transabdominal ultrasound. Further they were randomly assigned to either mifepristone or ulipristal orally with each category having 10 patients each to assess changes in fibroid size, in symptomatic pain reduction, menorrhagia and in quality of life.Results: The 25-mg dosage of Mifepristone is shown to be a good and effective way of treatment in fibroids less than 3 cm in achieving 40% reduction in size and 50% reduction in menorrhagia as compared to Ulipristal 10 mg which acts better in other subgroup of size 3-5 cm of fibroids.Conclusions: Still larger RCTs are needed to study the long-term benefits of these drugs.

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An Outline on Shweta pradara and An observational study on its clinical presentation

International Journal of Ayurvedic Medicine ◽

10.47552/ijam.v11i3.1547 ◽

2020 ◽

Vol 11 (3) ◽

pp. 394-398

Author(s):

Vishwesh B N

Keyword(s):

Observational Study ◽

Clinical Presentation ◽

Reproductive Age ◽

Age Group ◽

Women Of Reproductive Age ◽

Vaginal Secretion ◽

Great Relevance ◽

Reproductive Age Group

Leucorrhoea is one of the commonest complaints among women of reproductive age group. An increase in the normal vaginal secretion develops physiologically at puberty, at ovulation, premenstrual phase and during pregnancy. Excessive discharge causes irritation and itching in the genitalia. Ayurveda explains this condition as Shwetha pradara. Though it is not a separate disease, clinically it has great relevance. This paper is an attempt to outline the details of Shwetha pradara as described in the classics and to illustrate its clinical presentation in 50 patients as an observational study.

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